I was suffering from hot flashes for several months when I talked to my pharmacist about my issue. She recommended trying some over the counter herbal remedies. These did not work. She suggested I see my doctor and ask for a compounded prescription. I got that and the pharmacy started my dosage at a low amount applied to my skin. I also had saliva testing done. The prescription applied to my skin didn't work. So, I went on a compounded capsule. The very next day I didn't have a hot flash! I could hardly believe it. After suffering so long this was like a dream come true for me. I have been taking the capsule ever since. I have had some adjustments made over the years, but, am still taking the medication. And, continue to have the saliva testing done.